scholarly journals Postoperative Assessment of Gustatory Activity Following Surgical Removal of Mandibular Third Molars

2021 ◽  
Vol 10 (20) ◽  
pp. 1489-1495
Author(s):  
Siddhartha Dhanda ◽  
Soumi Samuel
Keyword(s):  
Third Molar ◽  
Surgical Removal ◽  
Class Iii ◽  
Postoperative Assessment ◽  
Third Molar Extraction ◽  
Taste Changes ◽  
Mandibular Third Molar ◽  
Surgical Extraction ◽  
Significant Difference ◽  
Difficulty Index

BACKGROUND The study focused on prospectively determining the incidence and severity of taste changes after surgical removal of mandibular third molar and correlating difficulty index of impaction and incidence of gustatory changes. METHODS 96 patients who required lower third molar extraction were included in the study. Their difficulty of impaction was measured using Pell and Gregory Difficulty Index and their gustatory activity was measured using a spatial taste test and a whole mouth wash test. The tests were carried out using 5 different stimuli, i.e., sweet, salt, bitter, umami and sour, in different concentrations and the subjects were asked to identify the stimuli preoperatively, postoperatively on day 7 and after 1 month.Tastes were scored from 1 - 9 for decreasing and altered taste sensations. RESULTS The results of our study showed that with increased difficulty index, taste sensation was altered. While most patients belonged to the Class II and Class I group as well as position A and B, taste changes were still noted due to difficulty in impaction, especially in the patients belonging to Class III and position C groups. The taste changes felt at POD - 7 were similar and unresolved in the one month follow up. The scores had a statistically significant difference (P < 0.05). CONCLUSIONS With a higher difficulty score, gustatory changes are felt due to the increased surgical manipulation required to remove the tooth from its socket. This is indicative of nerve damage during surgical extraction. KEY WORDS Postoperative, Assessment, Gustatory, Mandibular, Third Molar

scholarly journals Comparison of Post-Operative Symptom Severity (PoSSe) Scores in patients undergoing Mandibular Third Molar surgery in Ile-Ife, Nigeria

2019 ◽  
Vol 5 (1) ◽  
pp. 29-35
Author(s):  
Olufemi Ogundipe ◽  
Azuka Ralph Njokanma
Keyword(s):  
Symptom Severity ◽  
Third Molar ◽  
Third Molar Surgery ◽  
Surgical Removal ◽  
Subjective Feeling ◽  
Mandibular Third Molar ◽  
Surgical Extraction ◽  
Significant Difference ◽  
The Mean ◽  
A Prospective Study

Background: The Post-Operative Symptom Severity (Posse) score is useful in the assessment of patients after third molar surgery. Objective: To evaluate patients' perceptions of quality of life after surgical extraction of an impacted mandibular third molar by comparing their Post-operative Symptom Severity (PoSSe) scores at Post-operative Weeks (POW) 1 and 4. Methods: Seventy patients (age 18 to 35 years) at the Out-Patient Department were enrolled in a prospective study prior to surgical removal of third molars. Each patient was given a PoSSe questionnaire to be completed at POW 1 and POW 4. The scale assessed recovery in seven key domains on patients’ subjective feeling about pain, eating, speech, sensation, appearance, sickness and interference with daily activities. Results: All but one patient returned completely filled questionnaires. The mean age of the study population was 25.7 ± 4.5 years. The mean PoSSe score at POW 1 and POW 4 were 35.0 ± 7.2 and 33.2 ± 6.9 respectively with statistically significant difference (p = 0.010). The PoSSe score was higher among males compared to females at POW 1 (37.2 ± 7.6 vs 33.5 ± 6.6) and also higher among males at POW 4 (33.8 ± 9.4 vs 32.7 ± 4.6). Conclusion: The severity of symptoms was perceived to be worse at POW 1 when compared to POW4 but the symptoms were still severe at POW4. There is a need for surgeons need to pay more attention to management of symptoms in the post-operative intermediate period.

scholarly journals Efficacy of platelet rich plasma (PRP) on mouth opening and pain after surgical extraction of mandibular third molars

2020 ◽  
Vol 27 (1) ◽  
pp. 9
Author(s):  
Maidah Hanif ◽  
Muhammad Azhar Sheikh
Keyword(s):  
Platelet Rich Plasma ◽  
Maxillofacial Surgery ◽  
Third Molar ◽  
Mouth Opening ◽  
Third Molar Surgery ◽  
Oral And Maxillofacial Surgery ◽  
Surgical Removal ◽  
Mandibular Third Molar ◽  
Surgical Extraction ◽  
Molar Teeth

Introduction: Surgery of mandibular third molar teeth for removal is one of the most common procedures undertaken in oral and maxillofacial surgery departments. The complications created by the post extraction wound healing and physiological consecution of third molar surgery can affect patients' quality of life. Platelet rich plasma (PRP) is an autologous concentrate of platelets suspended in the Plasma that accelerates healing by concentration of growth factors which lessen the inflammation and as a result pain and trismus. Materials and methods: A Study was conducted on 130 patients at the department of Oral and Maxillofacial Surgery, FUCD Islamabad, for a period of 6 months after ethical approval. The patients with impacted mandibular wisdom teeth were selected and divided equally into two equal groups. The pain score was measured using the visual analogue scale (VAS) and trismus was measured using Vernier caliper before the surgery, immediately after surgery, on 3rd and 7th follow up visits. Results: The mean postoperative pain on 7th day was significantly lower in the PRP group with statistically significant P-value <0.0001. Trismus was also less reported in the PRP group with P-value <0.00065. Conclusion: Platelet Rich Plasma is effective to lessen trismus and pain after surgical removal of mandibular third molar teeth.

scholarly journals “Importance of Plasma Rich Growth Factors In Tooth Socket-In Concern of DRY SOCKET” (A Comperative Study)

2020 ◽  
Vol 7 (09) ◽  
pp. 5039-5043
Author(s):  
Dr santosh Mishra ◽  
Shukla M ◽  
Arya V
Keyword(s):  
Growth Factors ◽  
Healing Rate ◽  
Third Molar ◽  
Wilcoxon Test ◽  
Control Group ◽  
Surgical Removal ◽  
Dry Socket ◽  
Third Molar Extraction ◽  
Significant Difference ◽  
Molar Extraction

Introduction: The high prevalence of dry socket or alveolar osteitis (AO) is of concern in surgical removal of third molars. The aim of the present study was to assess the preventive effect of plasma rich in growth factors (PRGF) on AO and also its effect on pain management and healing acceleration in third molar extraction sockets of high-risk patients. Materials and Methods: This split-mouth, double-blind clinical trial included 40 bilateral third molar extractions (80 sockets) with at least one identified risk factor for AO. PRGF was obtained from patient’s own blood, based on manufacturer’s instruction, and blindly placed in one of the two bilateral sockets (PRGF group; n = 20) of each patient. The contralateral socket was treated with a placebo (control group; n = 20). Samples were evaluated for AO and pain incidence on days 2, 3 and 4 and healing and infection on days 3 and 7. Data were analyzed in SPSS v16 using Wilcoxon test. Results: There was a significant difference in dry socket and pain incidence and healing rate between the two groups. Intensity of pain and occurrence of dry socket in the study group was lower than the controls. Also the healing rate was higher (P < 0.05) for the PRGF group. No sign of infection was seen in either group. Conclusion: The application of PRGF may significantly reduce the incidence of AO or its associated pain and may accelerate healing. The prophylactic use of PRGF following third molar extraction may be suggested especially in the patients at risk of AO.

Comparison of Wound Healing Using Envelope and Triangular Flap for Impacted Mandibular Third Molar Surgery

2021 ◽  
Vol 15 (10) ◽  
pp. 2811-2813
Author(s):  
Atiq ur Rahman ◽  
Muhammad Junaid Hashmi ◽  
Muhammad Shairaz Sadiq ◽  
Fareed Ahmad ◽  
Muhammad Anwaar Alam ◽  
...  
Keyword(s):  
Wound Healing ◽  
Maxillofacial Surgery ◽  
Third Molar ◽  
Surgical Removal ◽  
Post Surgery ◽  
Triangular Flap ◽  
Impacted Mandibular Third Molar ◽  
Mandibular Third Molar ◽  
Significant Difference

Objective: To compare the wound healing with triangular flap versus envelope flap techniques among patients undergoing surgical removal of the impacted mandibular third molar (IMTM). Study Design: An open label randomized controlled trial. Place and Duration of the Study: The Department of Oral & Maxillofacial Surgery, Bakhtawar Amin Medical and Dental College, Multan from January 2021 to June 2021. Material and Methods: A total of 70 patients (35 in each group) of both genders aged 20 to 50 years requiring surgical removal of IMTM were included. Patients were asked to follow up on third and seventh day while observations regarding wound healing and pain were noted on 7th day among all cases completing the final follow up. Chi square was applied to compare data between both study groups taking p-value below 0.05 as significant. Results: In a total of 70 patients, there were 42 (60.0%) female and 28 (40.0%) female. Majority of the patients, 36 (51.4%) were above 30 years of age while mean age was noted to be 32.4+9.1 years. Sixty two patients completed the follow up so they were included in the final analysis for the assessment of wound healing and pain. Overall, wound healing was observed to be in 55/62 (88.7%) patients while wound healing was found to be 30/32 (93.8%) patients in envelope flap group in comparison to 25/30 (83.3%) in triangular flap group (p=0.1953). Overall, there was no statistically significant difference in between both study group with regards to evaluation of pain (p=0.3271) Conclusion: Both envelop flap and triangular flap techniques resulted in similar outcomes regarding wound healing among patients undergoing surgical removal of IMTM. Both flap techniques resulted in relatively similar degrees of post-surgery pain. Keywords: Third molar, pain, wound healing.

scholarly journals Assessment of Nerve Injuries after Surgical Removal of Mandibular Third Molar: A Prospective Study

2013 ◽  
Vol 2013 ◽  
pp. 1-6 ◽  
Author(s):  
Vikas Sukhadeo Meshram ◽  
Priyatama Vikas Meshram ◽  
Pravin Lambade
Keyword(s):  
Prospective Study ◽  
Patient Care ◽  
Preventive Measures ◽  
Third Molar ◽  
Surgical Removal ◽  
Nerve Injuries ◽  
Third Molar Extraction ◽  
Mandibular Third Molar ◽  
Set Up ◽  
A Prospective Study

Although third molar extraction is a routinely carried out procedure in a dental set-up, yet it is feared both by the patient and the dentist due to an invariable set of complications associated with it, especially in the form of nerve injuries. Hence, prior to performing such procedures, it would be wise if the clinician thoroughly evaluates the case for any anticipated complications so that adequate preventive measures can be taken to minimize the traumatic outcomes of the procedure and provide maximum patient care, which would further save the clinician from any sort of litigation.

scholarly journals Microbiological Evaluation of the Antibacterial Vicryl Suture in the Mandibular Third Molar Surgery

2021 ◽  
Author(s):  
Milad Etemadi Sh ◽  
Sameen Rahgozar ◽  
Golnaz Tajmiri ◽  
Javad Alizargar ◽  
Shu-Fang Vivienne Wu
Keyword(s):  
Third Molar ◽  
Third Molar Surgery ◽  
P Value ◽  
Suture Materials ◽  
Number Of Patients ◽  
Mandibular Third Molar ◽  
Surgical Extraction ◽  
Significant Difference ◽  
Vicryl Suture ◽  
Double Blinded

Background: Selection and application of suture materials, has gained more importance especially with the increasing number of patients seeking oral surgeries. Since lying in a bacterial-filled environment, sutures make the tissue prone to infection. Suture material plays an important role in the reduction of the risk of infection. This study aimed to assess the success rate of an antibacterial suture named Vicryl Plus in preventing bacterial growth in the surgical site of the mandibular third molar. Methods: 27 patients were included in this double-blinded randomized clinical trial study. Surgical Extraction of the mandibular wisdom tooth was done and the incision was managed by randomly using Vicryl Plus and Vicryl sutures. After 7 days, sutures were removed and assessed microbiologically. Predominant species of Streptococcus mutans and Lactobacillus were assessed as well as the total number of colonies on each suture. Results: There was a significant difference between two suture materials in colony number-length ratio of lactobacillus (p-value= 0.031) and total bacterial colonies (p-value=0.016); but not for S. mutans species (p-value=0.201). Conclusion: Antibacterial Vicryl suture can be a useful tool for the reduction in the rate of surgical site infection in high-risk cases and situations.

scholarly journals Comparative Evaluation of Two Different Flap Designs and Postoperative Outcome in the Surgical Removal of Impacted Mandibular Third Molar

2017 ◽  
Vol 18 (9) ◽  
pp. 807-811 ◽  
Author(s):  
Shabeer Ahamed ◽  
A Rabi ◽  
PM Mohamed Haris ◽  
Deepu M Panickal ◽  
Venith J Pulikkottil ◽  
...  
Keyword(s):  
Patient Satisfaction ◽  
Third Molar ◽  
Mouth Opening ◽  
Postoperative Outcome ◽  
Study Groups ◽  
Surgical Removal ◽  
Triangular Flap ◽  
Impacted Mandibular Third Molar ◽  
Mandibular Third Molar ◽  
Significant Difference

ABSTRACT Aim The aim of this study is to compare triangular and envelope flap designs and the postoperative outcome in the surgical removal of impacted mandibular third molar. Materials and methods A total of 50 participants were assessed clinically and were divided randomly into two groups. Group I (participants operated by triangular flap) and group II (participants operated by envelope flap), with 25 participants each between the age group of 20 and 30 years. Patient satisfaction was assessed subjectively using a graded scale from very satisfied to very unsatisfied. The degree of pain was recorded for 7 days with reference to predefined values on visual analog scale (VAS). Trismus was evaluated on the day 3, day 5, and day 7 of the postoperative period in millimeters. Quantitative data were analyzed by unpaired t-test and qualitative data were by Fischer's exact test. Results The mean overall age is 25.5 years. There was no statistically significant difference between the study groups with respect to age. There was no significant association between the patient satisfaction and flap type (p = 0.684). A significant difference between the study groups on 4th, 5th, and 6th days with respect to pain was observed, wherein fewer subjects operated with triangular flap reported pain. A highly significant difference in mouth opening was observed, with triangular flap group participants having a higher mouth opening than envelope flap subjects on day 7. Conclusion The present study indicated that participants operated by triangular flap had a better mouth opening postoperatively compared with envelope flap participants, whereas there were no significant differences in patient satisfaction and pain scores at the end of the 7th day after third molar surgery. Clinical significance Flap design is a significant factor in the surgical removal of impacted third molar, and it influences the severity of complications. Furthermore, it is important for allowing optimal visibility and access to the impacted tooth and also for subsequent healing of the surgically created defect. How to cite this article Rabi A, Haris PMM, Panickal DM, Ahamed S, Pulikkottil VJ, Haris KTM. Comparative Evaluation of Two Different Flap Designs and Postoperative Outcome in the Surgical Removal of Impacted Mandibular Third Molar. J Contemp Dent Pract 2017;18(9):807-811.

scholarly journals Amount of Local Anesthetic Solution Used in Mandibular Third Molar Surgery- A Retrospective Analysis

2020 ◽  
Vol 11 (SPL3) ◽  
pp. 1416-1422
Author(s):  
Dyna Albert ◽  
Muthusekhar M R ◽  
Kathiravan Selvarasu
Keyword(s):  
Local Anesthesia ◽  
Local Anesthetic ◽  
Third Molar ◽  
Surgical Removal ◽  
Impacted Teeth ◽  
Impacted Mandibular Third Molar ◽  
Mandibular Third Molar ◽  
Anesthetic Solution ◽  
Difficulty Index ◽  
Local Anesthetic Solution

Mandibular third molar is the most commonly impacted teeth and surgical removal of them is the most common minor oral surgical procedure done under local anesthesia in the outpatient department. For a comfortable patient experience and best surgical results, emphasis should be made on a pain-free procedure. In this study, we aim to analyse retrospectively the amount of local anesthetic solution used during surgical removal of impacted mandibular third molar and to find if any association between the amount of local anesthesia used and Pederson's difficulty Index (PDI) of the impacted teeth. Retrospective observational study conducted among patients reporting to the Department of Oral and Maxillofacial Surgery, Chennai for the surgical removal of impacted mandibular third molar between the study period June 2019 to March 2020. 658 patients who fulfilled the inclusion and exclusion criteria were included in the study. Data regarding patients demography, site of impaction, Pederson Difficulty Index of impacted teeth, amount of local anesthesia used were rewarded. The data were statistically analysed using descriptive statistics in IBM SPSS version 20 software. Study population included 58.4% males and 41.6% females, majority of them in the 3rd decade of life. (53.6%) with mean age 29.1 years. Of 658 impacted teeth analysed 54.4% were moderately difficult followed by minimally difficult 38.4% and very difficult 7.1% according to PDI. A significant association was found between the amount of local anesthesia used and PDI score of impacted teeth. In 64.7% cases 2ml of local anesthesia was sufficient to achieve anesthesia during the procedure. 2ml of local anesthesia is sufficient to achieve adequate anesthetic effect in surgical removal of impacted molar. As PDI increased, the amount of local anesthesia used also increased.

scholarly journals Evaluation of efficacy of submucosal tramadol after mandibular third molar surgery: a prospective pilot study

2019 ◽  
Vol 7 (11) ◽  
pp. 4320
Author(s):  
Karan V. Panchal ◽  
Navin S. Shah ◽  
Pratik Agrawal ◽  
Parshwa N. Shah
Keyword(s):  
Pilot Study ◽  
Maxillofacial Surgery ◽  
Third Molar ◽  
Mouth Opening ◽  
Analgesic Efficacy ◽  
Third Molar Surgery ◽  
Oral And Maxillofacial Surgery ◽  
Third Molar Extraction ◽  
Mandibular Third Molar ◽  
Surgical Extraction

Background: Surgical extraction of mandibular third molar is one of the most commonly performed procedure in oral and maxillofacial surgery. Its removal causes swelling, trismus, and moderate to severe pain which can be treated with various NSAID’s drugs, which have numerous side effects and gastric disturbances. In order to bypass such disturbances, Tramadol may be considered as an alternative for such patients. The aim of the study was to evaluate analgesic efficacy of submucosal tramadol and its implication over swelling and mouth opening after mandibular third molar surgery.Methods: This is a prospective study where in after post-surgical extraction of mandibular third molar, efficacy of submucosal injection of tramadol is evaluated in terms of pain and its implication over swelling and mouth opening.Results: The present study suggested there was statistically significant VAS score for pain after submucosally injecting tramadol post-surgical extraction of mandibular third molar in the following visits- 4hourly, 8hourly and 24hourly. In respect to swelling, statistically significant values was noted during 24hr and 72 h our post extraction. Also in case of mouth opening, statistically significant values were found 24 hourly.Conclusions: The present pilot study concluded that submucosal tramadol post mandibular third molar extraction has been effective in reducing pain, limiting post-extraction swelling and less impacting mouth opening by inducing less complications thereby bypassing gastric disturbances.

scholarly journals Treatment of Osseous Defects after Mandibular Third Molar Removal with a Resorbable Alloplastic Grafting Material: A Case Series with 1- to 2-Year Follow-Up

Materials ◽  
2020 ◽  
Vol 13 (20) ◽  
pp. 4688
Author(s):  
Minas Leventis ◽  
Efstathia Tsetsenekou ◽  
Demos Kalyvas
Keyword(s):  
Radiological Finding ◽  
Third Molar ◽  
Case Series ◽  
Surgical Removal ◽  
Pocket Depth ◽  
Mandibular Third Molar ◽  
Surgical Extraction ◽  
Distal Surface ◽  
Osseous Defects

Mandibular third molar (M3) surgical extraction may cause periodontal complications on the distal aspect of the root of the adjacent mandibular second molar (M2). Patients older than 26 years with periodontal pathology on the distal surface of the M2 and a horizontal/mesioangular impacted M3 may benefit from bone regenerative therapy at the time of surgery. In this prospective case series, an alloplastic fully resorbable bone grafting material, consisting of beta-tricalcium phosphate (β-TCP) and calcium sulfate (CS), was used for the treatment of the osseous defects after the removal of horizontal or mesioangular M3s in 4 patients older than 26 years. On presentation, the main radiological finding in all patients, indicating periodontal pathology, was the absence of bone between the crown of the M3 and the distal surface of the root of the M2. To evaluate the treatment outcome, bone gain (BG) was assessed by recording the amount of bone defect (BD) at the time of surgical removal (T0) and at the time of final follow-up (T1) 1 or 2 years post-operatively. The healing in all cases was uneventful, with no complications associated with the use of the alloplastic grafting material. Clinical and radiological examination at T1 revealed that all extraction sites were adequately restored, with significant BG of 6.07 ± 0.28 mm. No residual pathological pockets on the distal surface of the M2 were detected. Pocket depth (PD) at T1 was 2 ± 0.71 mm. Within the limitations of this case series, the results suggest that β-TCP/CS can support new bone formation at M3 post-extraction sites where bone regeneration methods are indicated, thus reducing the risk of having persistent or developing new periodontal problems at the adjacent M2.

Sign in / Sign up

Export Citation Format

Share Document